JENNICA E. N. CORNINE

MACON, GA
NPI1962692871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  005080)
Enumeration Date2007-07-26
Last Update Date2007-07-26
Business Address
-- JENNICA E. N. CORNINE PA
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-1000
Mailing Address
-- JENNICA E. N. CORNINE PA
598 3RD ST
MACON, GA 31201-3357
Phone number: 478-633-6706